MassRID Member Registration 2018-2019
Registration is FREE for 2018-2019. To register, please fill out the form below.
First Name *
Your answer
Last Name *
Your answer
Street
Your answer
City, State, Zip
Your answer
Phone Number
Your answer
Email Address *
Your answer
Are you currently a member of National RID? *
If yes, what is your National RID number?
Your answer
Which RID certifications do you hold (if any)?
Your answer
Are you currently MCDHH screened? (Say "yes" if you are RID certified.) *
Are you currently an ITP student? *
If yes, which program are you in?
Your answer
How do you identify yourself? *
Are you willing to be photographed for MassRID website and its publications? *
In order to assign you to the appropriate Regional Representative, in which region do you predominantly work? *
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